APPLICATION FOR BANK GUARANTEE (BG)

To: OCBC Bank (Malaysia) Berhad (295400-W)

1. Name & Address of the Applicant: / 2. Name & Address of the Beneficiary:
Contact Person:
Tel No: / Fax No:
3. Name & Address for 3rd Party Account (If applicable): / 4. Purpose of the Guarantee:
Renewal BG no:
Bid Bond / Advance Payment Bond
Performance Bond / Financial Guarantee
Security Deposit Bond / Others:
Payment Guarantee
5. Detail of the Guarantee:
a) Currency and Amount in figures: AUDCADCNYEURGBPHKDJPYMYRNZDSEKSGDUSD
b) Issue Date : JANFEBMARAPRMAYJUNJULAUGSEPOCTNOVDEC 2012201320142015201620172018 / d) Expiry Date : JANFEBMARAPRMAYJUNJULAUGSEPOCTNOVDEC 2012201320142015201620172018
c) Effective Date : JANFEBMARAPRMAYJUNJULAUGSEPOCTNOVDEC 2012201320142015201620172018 / e) Claim Period:
6. Attachment(s)(If any):
Format of BG (If not provided, then Bank’s standard format applies).
Supporting Document(s) (Please specify):
7. Issuance Mode:
Issue by Tele-transmission. / Issue by Courier to Beneficiary
Self-collect at branch.
Name of the Collector: / NRIC No:
Issued by the following local bank in the country of Beneficiary.
Name of the Bank and place: / Correspondent Banks of OCBC
8. Instruction on Charges and Payment:
Please debit my/our account No: with you for charges pertaining to this application.
I/We attach herewith a Cheque, detail as follows:
No: / Bank: / Place: / Amount: USDMYRAUDCADEURGBPHKDJPYSEKSGD
9. Applicant’s Declaration and Authorisation:
1.  I/We acknowledge and agree that cash deposits or fixed deposits pledged to the Bank to support this application will only be released to me/us upon receipt by the Bank a written discharge letter from the Beneficiary or after the expiry date or claim period of this Bank Guarantee (BG);
2.  You are hereby authorised, whether before or after you have made payment under the BG:-
a.  to earmark and withhold from my/our account(s) (including any fixed deposit account(s) with your Bank (“Account(s)”) or from any funds held by you to which I/we may be entitled, a sum equivalent to your liability or contingent liability under the BG;
b.  to debit the Account(s) at such time(s) as you deem fit for:-
(i) the commission and charges payable for the issuance of the BG; and
(ii) the amount of any payments you may make or be required to make in respect of the BG together with such interest /compensation, and (if any Account(s) are overdrawn due to the debiting) the applicable overdrafts/excesses charges.
3.  This Application is subjected to the letter of offer and OCBC Product Terms, including all supplements and amendments from time to time. The letter of offer shall prevail if there is any conflict between any applicable terms;
4.  This clause is only applicable in the event I/we apply to backdate the Effective Date of the Bank Guarantee - I/We hereby confirmed that there are no liabilities outstanding during the back-dated period. If a claim is submitted for the back-dated period, I/we irrevocably authorise the Bank to set-off the claim from the Earmarked Account in accordance to the terms and conditions stated in this form (where applicable).
5.  I/We shall indemnify you for any damages, losses, costs and/or expenses (including legal costs on a solicitor and own client basis and any tax payable) which you may incur or suffer arising from or in connection with this Application including issuance of any Guarantee.
Authorised Signature(s) :
Date : JANFEBMARAPRMAYJUNJULAUGSEPOCTNOVDEC 2012201320142015201620172018

OCBC / GTF / BG FORM / REVISED_28 Feb 2012 (ENG) Page 1 of 2